Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Acute Obstruction of Small Intestine Secondary to Hematoma in Children

Acute Obstruction of Small Intestine Secondary to Hematoma in Children Abstract Children are peculiarly susceptible to traumatic experiences. When a child or an adult is struck in the abdomen, the organ most commonly injured is the liver, spleen, or kidney. One seldom thinks of trauma to the bowel unless free air is present in the peritoneal cavity. If perforation has not occurred, the thought of bowel injury is often dismissed. It is only after signs of obstruction have developed or tenderness has persisted that the possibility is considered. A study of the literature has disclosed that obstruction of the duodenum or jejunum due to hematoma is very infrequent. A total of 19 cases have been found. Of these 19 cases, 16 have been in patients below the age of 20; and 12 of the 19 patients have been 11 years old or less, thus illustrating the greater incidence of this condition in childhood. It is interesting to note that in only References 1. Glass, G. C.: Hemorrhage in a Newly Born Infant, Causing Intestinal and Biliary Obstruction , Am. J. Dis. Child. 54:1052, 1937.Crossref 2. Liverud, K.: Hematoma of the Jejunum with Subileus , Acta radiol. 30:163, 1948.Crossref 3. Dey, D. L.: Acute Duodenal Obstruction Due to an Intramural Hæmatoma , Med. J. Australia 1:708, 1952. 4. Stirk, D. I.: A Case of Subserous Duodenal Hæmatoma , Brit. M. J. 1:712, 1953.Crossref 5. Cooling, C. I.: Subserous Duodenal Hæmatoma, Correspondence , Brit. M. J. 1:1051, 1953.Crossref 6. Felson, B., and Levin, E. J.: Intramural Hematoma of the Duodenum: Diagnostic Roentgen Sign , Radiology 63:823, 1954. 7. Lampert, E. G.; Goodfellow, J. G., and Wachowski, T. J.: Traumatic Subserosal Hemorrhage Causing Small Bowel Obstruction , Ann. Surg. 140:768, 1954. 8. Magladry, G. W., Jr., and Mathewson, C., Jr.: Duodenal Obstruction Due to Trauma , Stanford M. Bull. 12:205, 1954. 9. Snider, H. R.: Acute Duodenal Obstruction Secondary to Intramural Hematoma , Surgery 39:860, 1956. 10. Moody, E. E.: Acute Jejunal Obstruction Secondary to Traumatic Intramural Hematoma , Pediatrics 19:863, 1957. 11. Garfinkel, B.; Waleson, M., and Furst, N. J.: Hematoma of the Duodenum , Am. J. Surg. 95:484, 1958.Crossref 12. Caird, D. M., and Ellis, H.: Intramural Hæmatoma of the Duodenum , Brit. J. Surg. 45:389, 1958.Crossref 13. Oppenheimer, G. D.: Acute Obstruction of the Duodenum Due to Submucous Hæmatoma , Ann Surg. 98:192, 1933.Crossref 14. Melamed, M., and Pantone, A. M.: Hematoma of the Duodenum: A Case Report , Radiology 66:874, 1956.Crossref 15. Jones, G. E., and Settle, J. W., Jr.: Obstructing Lesion of the Colon Due to Non-Penetrating Trauma of the Abdomen , Northwest Med. 51:317, 1952. 16. Kratzer, G. L., and Dixon, C. F.: Traumatic Submucosal Hematoma of the Midportion of the Ascending Colon: Report of Case , Proc. Staff Meet. Mayo Clin. 26:18, 1951. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Acute Obstruction of Small Intestine Secondary to Hematoma in Children

Loading next page...
 
/lp/american-medical-association/acute-obstruction-of-small-intestine-secondary-to-hematoma-in-children-2C79UMcTD1
Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1959.04320010029005
Publisher site
See Article on Publisher Site

Abstract

Abstract Children are peculiarly susceptible to traumatic experiences. When a child or an adult is struck in the abdomen, the organ most commonly injured is the liver, spleen, or kidney. One seldom thinks of trauma to the bowel unless free air is present in the peritoneal cavity. If perforation has not occurred, the thought of bowel injury is often dismissed. It is only after signs of obstruction have developed or tenderness has persisted that the possibility is considered. A study of the literature has disclosed that obstruction of the duodenum or jejunum due to hematoma is very infrequent. A total of 19 cases have been found. Of these 19 cases, 16 have been in patients below the age of 20; and 12 of the 19 patients have been 11 years old or less, thus illustrating the greater incidence of this condition in childhood. It is interesting to note that in only References 1. Glass, G. C.: Hemorrhage in a Newly Born Infant, Causing Intestinal and Biliary Obstruction , Am. J. Dis. Child. 54:1052, 1937.Crossref 2. Liverud, K.: Hematoma of the Jejunum with Subileus , Acta radiol. 30:163, 1948.Crossref 3. Dey, D. L.: Acute Duodenal Obstruction Due to an Intramural Hæmatoma , Med. J. Australia 1:708, 1952. 4. Stirk, D. I.: A Case of Subserous Duodenal Hæmatoma , Brit. M. J. 1:712, 1953.Crossref 5. Cooling, C. I.: Subserous Duodenal Hæmatoma, Correspondence , Brit. M. J. 1:1051, 1953.Crossref 6. Felson, B., and Levin, E. J.: Intramural Hematoma of the Duodenum: Diagnostic Roentgen Sign , Radiology 63:823, 1954. 7. Lampert, E. G.; Goodfellow, J. G., and Wachowski, T. J.: Traumatic Subserosal Hemorrhage Causing Small Bowel Obstruction , Ann. Surg. 140:768, 1954. 8. Magladry, G. W., Jr., and Mathewson, C., Jr.: Duodenal Obstruction Due to Trauma , Stanford M. Bull. 12:205, 1954. 9. Snider, H. R.: Acute Duodenal Obstruction Secondary to Intramural Hematoma , Surgery 39:860, 1956. 10. Moody, E. E.: Acute Jejunal Obstruction Secondary to Traumatic Intramural Hematoma , Pediatrics 19:863, 1957. 11. Garfinkel, B.; Waleson, M., and Furst, N. J.: Hematoma of the Duodenum , Am. J. Surg. 95:484, 1958.Crossref 12. Caird, D. M., and Ellis, H.: Intramural Hæmatoma of the Duodenum , Brit. J. Surg. 45:389, 1958.Crossref 13. Oppenheimer, G. D.: Acute Obstruction of the Duodenum Due to Submucous Hæmatoma , Ann Surg. 98:192, 1933.Crossref 14. Melamed, M., and Pantone, A. M.: Hematoma of the Duodenum: A Case Report , Radiology 66:874, 1956.Crossref 15. Jones, G. E., and Settle, J. W., Jr.: Obstructing Lesion of the Colon Due to Non-Penetrating Trauma of the Abdomen , Northwest Med. 51:317, 1952. 16. Kratzer, G. L., and Dixon, C. F.: Traumatic Submucosal Hematoma of the Midportion of the Ascending Colon: Report of Case , Proc. Staff Meet. Mayo Clin. 26:18, 1951.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Jan 1, 1959

References